Most Relevant Information
Provider Data
| NPI Number: | 1003548439 |
| Provider Name: | JASON HALL MACKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
107 S DIVISION ST
SPOKANE
WA
992021510
Practice Location Phone/Fax
| Phone: | 5098384651 |
| Fax: |
Provider Mailing Location
107 S DIVISION ST
SPOKANE
WA
992021510
Provider Mailing Phone/Fax
| Phone: | 5098384651 |
| Fax: |